World guidelines for falls prevention and management for older adults: a global initiative

M Montero-Odasso, N van der Velde, Finbarr Martin, Tahir Masud, J Ryg, Frederico Pieruccini-Faria, Dawn Skelton, MP Tan, Nellie Kamkar, Catherine Sherrington, SR Lord, M Speechley, RA Kenny, Jacqueline Close, LA Lipsitz, J Verghese, M Petrovic, Sara G Aguilar Navarro, Sebestina Anita Dsouza

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Falls and fall-related injuries are common in older adults, have negative effects on functional independence and quality of life, and are associated with increased morbidity, mortality and health related costs. Current guidelines are inconsistent, with no up-to-date, globally applicable ones present. Objectives: To create a set of evidence- and expert consensus-based falls prevention and management recommendations applicable to older adults for use by healthcare and other professionals that consider: a) a person-centred approach that includes the perspectives of older adults with lived experience, caregivers, and other stakeholders; b) gaps in previous guidelines; c) recent developments in e-health; and d) implementation across locations with limited access to resources such as low and middle-income countries.

Methods: A steering committee and a worldwide multidisciplinary group of experts and stakeholders, including older adults were assembled. Geriatrics and gerontological societies were represented. Using a modified Delphi process, recommendations from 11 topic-specific working groups, 10 ad-hoc working groups and a working group dealing with the perspectives of older adults were reviewed and refined. The final recommendations were determined by voting.

Recommendations: All older adults should be advised on falls prevention and physical activity. Opportunistic case finding for falls risk is recommended for community-dwelling older adults. Those considered at high risk, should be offered a comprehensive multifactorial assessment with a view to co-design and implement personalized multidomain interventions. Other recommendations cover details of assessment and intervention components and combinations, and recommendations for specific settings and populations.

Conclusions: The core set of recommendations provided will require flexible implementation strategies that consider both local context and resources.
Original languageEnglish
JournalAge and Ageing
Publication statusAccepted/In press - 26 Aug 2022

Keywords

  • falls
  • injury
  • aged
  • older adults
  • falls prevention
  • recommendations
  • clinical practice guidelines
  • world guidelines
  • consensus

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